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Environmental Interventions to Prevent Falls in Community-Dwelling: Older People A Meta-Analysis of Randomized Trials.
- Source :
-
Journal of Aging & Health . Dec2008, Vol. 20 Issue 8, p954-971. 18p. - Publication Year :
- 2008
-
Abstract
- Objective: This study seeks to determine the efficacy of environmental interventions in reducing falls in community-dwelling older people. Method: A systematic review and meta-analysis of randomized trials was performed. Results: Pooled analysis of six trials (N = 3,298) demonstrated a 21% reduction in falls risk (relative risk [RR] = 0.79; 0.65 to 0.97). Heterogeneity was attributable to the large treatment effect of one trial. Analysis of a subgroup of studies with participants at high risk of falls (four trials, n = 570) demonstrated a clinically significant 39% reduction of falls (RR = 0.61; 0.47 to 0.79), an absolute risk difference of 26% for a number needed to treat four people. Discussion: Home assessment interventions that are comprehensive, are well focused, and incorporate an environmental-fit perspective with adequate follow-up can be successful in reducing falls with significant effects. The highest effects are associated with interventions that are conducted with high-risk groups. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 08982643
- Volume :
- 20
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Journal of Aging & Health
- Publication Type :
- Academic Journal
- Accession number :
- 34999965
- Full Text :
- https://doi.org/10.1177/0898264308324672